Biomedical Engineering and Bioengineering Commons^™

Biomechanical Tolerance Of Whole Lumbar Spines In Straightened Posture Subjected To Axial Acceleration, Brian D. Stemper, Sajal Chirvi, Ninh Doan, Jamie L. Baisden, Dennis J. Maiman, William H. Curry, Narayan Yoganandan, Frank A. Pintar, Glenn Paskoff, Barry S. Shender

Biomedical Engineering Faculty Research and Publications

Quantification of biomechanical tolerance is necessary for injury prediction and protection of vehicular occupants. This study experimentally quantified lumbar spine axial tolerance during accelerative environments simulating a variety of military and civilian scenarios. Intact human lumbar spines (T12‐L5) were dynamically loaded using a custom‐built drop tower. Twenty‐three specimens were tested at sub‐failure and failure levels consisting of peak axial forces between 2.6 and 7.9 kN and corresponding peak accelerations between 7 and 57 g. Military aircraft ejection and helicopter crashes fall within these high axial acceleration ranges. Testing was stopped following injury detection. Both peak force and acceleration were significant …

Sagittal Subtalar And Talocrural Joint Assessment During Ambulation With Controlled Ankle Movement (Cam) Boots, Ben Mchenry, Emily L. Exten, Janelle A. Cross, Karen M. Kruger, Brian Law, Jessica M. Fritz, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background: The purpose of the current study was to determine sagittal plane talocrural and subtalar kinematic differences between barefoot and controlled ankle movement (CAM) boot walking. This study used fluoroscopic images to determine talar motion relative to tibia and calcaneal motion relative to talus.

Methods: Fourteen male subjects (mean age 24.1 ± 3.5 years) screened for normal gait were tested. A fluoroscopy unit was used to collect images at 200 Hz during stance. Sagittal motion of the talocrural and subtalar joints were analyzed barefoot and within short and tall CAM boots.

Results: Barefoot talocrural mean maximum plantar and dorsiflexion were …

Biplane Fluoroscopy For Hindfoot Motion Analysis During Gait: A Model-Based Evaluation, Janelle A. Cross, Ben Mchenry, Robert C. Molthen, Emily Exten, Taly Gilat-Schmidt, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

The purpose of this study was to quantify the accuracy and precision of a biplane fluoroscopy system for model-based tracking of in vivo hindfoot motion during over-ground gait. Gait was simulated by manually manipulating a cadaver foot specimen through a biplane fluoroscopy system attached to a walkway. Three 1.6-mm diameter steel beads were implanted into the specimen to provide marker-based tracking measurements for comparison to model-based tracking. A CT scan was acquired to define a gold standard of implanted bead positions and to create 3D models for model-based tracking. Static and dynamic trials manipulating the specimen through the capture volume …

Biomechanics Of Pediatric Manual Wheelchair Mobility, Brooke A. Slavens, Alyssa J. Schnorenberg, Christine M. Aurit, Sergey Tarima, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Currently, there is limited research of the biomechanics of pediatric manual wheelchair mobility. Specifically, the biomechanics of functional tasks and their relationship to joint pain and health is not well understood. To contribute to this knowledge gap, a quantitative rehabilitation approach was applied for characterizing upper extremity biomechanics of manual wheelchair mobility in children and adolescents during propulsion, starting, and stopping tasks. A Vicon motion analysis system captured movement, while a SmartWheel simultaneously collected three-dimensional forces and moments occurring at the handrim. A custom pediatric inverse dynamics model was used to evaluate three-dimensional upper extremity joint motions, forces, and moments …

Sagittal Subtalar And Talocrural Joint Assessment With Weight-Bearing Fluoroscopy During Barefoot Ambulation, Ben Mchenry, Emily L. Exten, Jason Long, Brian Law, Richard Marks, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background: Identifying talar position during ambulation has proved difficult as the talus lacks palpable landmarks for skin marker placement and more invasive methodologies such as bone pins are not practical for most clinical subjects. A fluoroscopic motion system was used to track the talus and calcaneus, allowing kinematic analysis of the talocrural and subtalar joints.

Methods: Thirteen male subjects (mean age 22.9 ± 3.0 years) previously screened for normal gait were tested. A fluoroscopy unit was used to collect images at 120 fps during stance. Sagittal motion of the talocrural and subtalar joints were analyzed.

Results: The intersubject mean and …

Upper Extremity Biomechanics Of Children With Spinal Cord Injury During Wheelchair Mobility, Alyssa J. Schnorenberg, Brooke A. Slavens, Adam Graf, Joseph J. Krzak, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

While much work is being done evaluating the upper extremity joint dynamics of adult manual wheelchair propulsion, limited work has examined the pediatric population of manual wheelchair users. Our group used a custom pediatric biomechanical model to characterize the upper extremity joint dynamics of 12 children and adolescents with spinal cord injury (SCI) during wheelchair propulsion. Results show that loading appears to agree with that of adult manual wheelchair users, with the highest loading primarily seen at the glenohumeral joint. This is concerning due to the increased time of wheelchair use in the pediatric population and the impact of this …

Biomechanical Model For Evaluation Of Pediatric Upper Extremity Joint Dynamics During Wheelchair Mobility, Alyssa J. Schnorenberg, Brooke A. Slavens, Mei Wang, Lawrence Vogel, Peter Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Pediatric manual wheelchair users (MWU) require high joint demands on their upper extremity (UE) during wheelchair mobility, leading them to be at risk of developing pain and pathology. Studies have examined UE biomechanics during wheelchair mobility in the adult population; however, current methods for evaluating UE joint dynamics of pediatric MWU are limited. An inverse dynamics model is proposed to characterize three-dimensional UE joint kinematics and kinetics during pediatric wheelchair mobility using a SmartWheel instrumented handrim system. The bilateral model comprises thorax, clavicle, scapula, upper arm, forearm, and hand segments and includes the sternoclavicular, acromioclavicular, glenohumeral, elbow and wrist joints. …

A Modular Low-Clearance Wrist Orthosis For Improving Wrist Motion In Children With Cerebral Palsy, Devon Holley, Michelle Johnson, Gerald F. Harris, Scott A. Beardsley

Biomedical Engineering Faculty Research and Publications

Children with Cerebral Palsy (CP) often exhibit impairments in the coordination of the grip and lift phases of arm movements that directly impact their ability to perform activities of daily living (ADLs). The application of assistive robotic therapy to children with spastic hemiplegic CP has shown that augmented movement training can lead to improved functional outcomes and improved arm kinematics. Assistive robotic therapy of the wrist has been shown to help improve motor skills in stroke patients, but the devices employed are often large and obtrusive, focusing on a repeated motion rather than a task-based itinerary. Here, we propose a …

Evaluation Of Cast Creep Occurring During Simulated Clubfoot Correction, Tamara L. Cohen, Haluk Altiok, Mei Wang, Linda M. Mcgrady, Joseph Krzak, Adam Graf, Sergey Tarima, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

The Ponseti method is a widely accepted and highly successful conservative treatment of pediatric clubfoot involving weekly manipulations and cast applications. Qualitative assessments have indicated the potential success of the technique with cast materials other than standard plaster of Paris. However, guidelines for clubfoot correction based on the mechanical response of these materials have yet to be investigated. The current study sought to characterize and compare the ability of three standard cast materials to maintain the Ponseti-corrected foot position by evaluating cast creep response. A dynamic cast testing device, built to model clubfoot correction, was wrapped in plaster of Paris, …

Creep Evaluation Of (Orthotic) Cast Materials During Simulated Clubfoot Correction, T. L. Cohen, H. Altiok, Sergey Tarima, P. A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

The Ponseti method is a widely accepted and highly successful conservative treatment of pediatric clubfoot that relies on weekly manipulations and cast applications. However, the material behavior of the cast in the Ponseti technique has not been investigated. The current study sought to characterize the ability of two standard casting materials to maintain the Ponseti corrected foot position by evaluating creep response. A dynamic cast testing device (DCTD) was built to simulate a typical pediatric clubfoot. Semi-rigid fiberglass and rigid fiberglass casting materials were applied to the device, and the rotational creep was measured at various constant torques. The movement …

Motion Analysis Of The Upper Extremities During Lofstrand Crutch-Assisted Gait In Children With Orthopaedic Disabilities, Brooke A. Slavens, Neha Bhagchandani, Mei Wang, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

This paper presents a review of current state-of-the-art dynamic systems for quantifying the kinematics and kinetics of the joints of the upper extremities during Lofstrand crutch-assisted gait. The reviewed systems focus on the rehabilitation of children and adults with myelomeningocele (MM), cerebral palsy (CP), spinal cord injury (SCI), and osteogenesis imperfecta (OI). Forearm crutch systems have evolved from models with single- to multi-sensor hardware systems that can incorporate an increasing number of segments that are in compliance with the standards of the International Society of Biomechanics (ISB).

Methods

The initial system developed by our group was a single, six-axis, …

Biomechanical And Radiographic Evaluation Of An Ovine Model For The Human Lumbar Spine, Nina E. Easley, M. Wang, Linda M. Mcgrady, Jeffrey M. Toth

Biomedical Engineering Faculty Research and Publications

While various species of animal models have been used in preclinical investigations of spinal implant devices to assess their biological adaptation and biomechanical performance, few studies have made comprehensive comparisons to validate their suitability of modelling the human spine. The purpose of this study was to assess essential biomechanical behaviours and disc morphology of the ovine lumbar model. Flexibility testing was conducted on the spines (L3—L4 and L4—L5) of nine skeletally matured sheep. Segmental rotation and intradiscal pressure were measured and load sharing between the intervertebral disc and posterior elements were calculated on the basis of a simplified parallel spring …